36D2171212 CLIA NUMBER - PREMIER PAIN TREATMENT INSTITUTE

Laboratory Demographics

CLIA Number: 36D2171212

Facility Name: PREMIER PAIN TREATMENT INSTITUTE

Facility Address:
1121 NORTHVIEW DR
HILLSBORO, OH
ZIP 45133
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Facility Phone Number: 513 454-7246

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679038384

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	36D2171212
LAB Type	Physician Office
Facility Name	PREMIER PAIN TREATMENT INSTITUTE
Street	1121 NORTHVIEW DR
City	HILLSBORO
State	OH
ZIP	45133
Phone	513 454-7246
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024